How can I find out the cost of a medical procedure?

To find out the cost of a specific medical procedure, you should contact your healthcare provider's billing department directly and also reach out to your insurance company for coverage details. For a detailed lookup of fee schedules based on CPT code and your specific location, you can utilize specialized tools. Payerprice offers a fee schedule lookup tool designed for users to search with CPT codes and specific locations.

What is a CPT code and why is it important for understanding costs?

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for reimbursement. They are crucial for understanding costs because they provide a universal way to identify specific procedures, allowing you to look up prices and verify insurance coverage accurately. Knowing the CPT code for your service is often the first step in getting a precise cost estimate.

Does my insurance cover this procedure?

To determine if your insurance covers a specific procedure, you must contact your insurance provider directly. They can explain your benefits, deductible, co-pays, and any pre-authorization requirements. It's helpful to have the CPT code for the procedure ready when you call, as this will allow them to provide the most accurate information regarding your coverage.

What is the difference between an in-network and out-of-network provider?

An in-network provider has a contract with your health insurance plan to provide services at pre-negotiated rates. This typically results in lower out-of-pocket costs for you, as your insurance company covers a larger portion of the bill. An out-of-network provider does not have such a contract, meaning you may pay a higher percentage of the cost, or even the full cost, out of pocket, as your insurance plan may cover less or none of the service.

Where can I find specific fee schedules for medical services?

For specific fee schedules based on CPT codes and your location, you can use specialized tools. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to find relevant pricing information. This can help you understand potential costs before a procedure.

CPT 77338 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include Medicare & Medicaid Rates (government-set reimbursement amounts), Private Insurance Rates (negotiated rates between providers and insurance companies), Geographic Location (costs may be higher in urban areas), and Provider Type (hospital providers may have different rates than private practice).

Last Verified: August 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Imrt Tumor Image, A Tumor Image Created For Radiation Treatment. Information From An Intensity-Modulated Radiation Therapy (Imrt) Plan Is Fed Into A Filter On A Linear Accelerator. This Creates A Radiation Energy Pattern That Precisely Matches The Shape Of The Tumor.

Key Fact	Detail
Service Type	Radiology Procedures Radiation Oncology Treatment
Common Place of Service	22 - On Campus Outpatient Hospital 11 - Office
Common Modifiers	None 26 - Professional component 59 - Distinct Procedural Service
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 77338

National average reimbursement for CPT 77338 by major payers:

$569.76

$593.95

$608.39

$713.11

Preview provider-level rates for...

For billing codeCPT 77338

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	77338	$201.72	1407191984 - BSA HOSPITAL LLC	300754305	TX	General Acute Care Hospital (282N00000X)
United	77338	$954.59	1285830828 - SANDRA LEE	310667480 - (OH) PROFESSIONAL RADIOLOGY, INC.	NV	Diagnostic Radiology Physician (2085R0202X)
United	77338	$431.10	1487693602 - JAMES TRAIFOROS	310667480 - (OH) PROFESSIONAL RADIOLOGY, INC.	OH	Diagnostic Radiology Physician (2085R0202X)
United	77338	$301.64	1063411767 - ESSENT PRMC LP, PARIS REGIONAL MEDICAL CENTER	331073948	TX	General Acute Care Hospital (282N00000X)
United	77338	$343.39	1174572416 - DALLAS VAMC	756108647	TX	General Acute Care Hospital (282N00000X)
United	77338	$346.73	1679557888 - CHRISTUS HEALTH SOUTHEAST TEXAS, CHRISTUS SOUTHEAST TEXAS - ST. ELIZABETH	760591590 - (TX) CHRISTUS HEALTH SOUTHEAST TEXAS	TX	General Acute Care Hospital (282N00000X)
United	77338	$198.66	1649223645 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, ROUND ROCK MEDICAL CENTER	743001674 - (TX) LONE STAR CIRCLE OF CARE	TX	General Acute Care Hospital (282N00000X)
United	77338	$692.56	1073502985 - CHU CHEN	42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.	MA	Pediatrics Physician (208000000X)
United	77338	$692.56	1073502985 - CHU CHEN	42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.	MA	Pediatrics Physician (208000000X)
United	77338	$523.50	1437197738 - STEVEN PERLMAN	310667480 - (OH) PROFESSIONAL RADIOLOGY, INC.	OH	Diagnostic Radiology Physician (2085R0202X)
United	77338	$628.11	1003192311 - EL CAMPO MEMORIAL HOSPITAL	452750258 - (TX) EL CAMPO MEMORIAL HOSPITAL	TX	General Acute Care Hospital (282N00000X)
United	77338	$297.95	1699768705 - GONZALES HEALTHCARE SYSTEMS	741625013	TX	General Acute Care Hospital (282N00000X)
United	77338	$410.54	1205833241 - CLHG-WINN, LLC, WINN PARISH MEDICAL CENTER	813465517	LA	General Acute Care Hospital (282N00000X)
United	77338	$372.98	1720033947 - ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP, HEART HOSPITAL OF AUSTIN	743001674 - (TX) LONE STAR CIRCLE OF CARE	TX	General Acute Care Hospital (282N00000X)
United	77338	$431.10	1194713255 - ELLA KUNDU	310667480 - (OH) PROFESSIONAL RADIOLOGY, INC.	OH	Diagnostic Radiology Physician (2085R0202X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 77338 vs. Other Radiation Oncology Treatment Codes

The CPT 77338 code is part of the Radiology Procedures services used for Radiation Oncology Treatment. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 77338 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
77301-CPT	High	Radiation Treatment Plan, An Intensity-Modulated Radiation Therapy (Imrt) Plan Constructs A Precise 3-D Map Of A Tumor. Radiation Doses Are Targeted To The Mapped Area And Vary By The Tumor Thickness.
77306-CPT	Low	Therapeutic Radiology Service, Teletherapy Isodose Plan; Simple (1 Or 2 Unmodified Ports Directed To A Single Area Of Interest) Includes Basic Dosimetry Calculation(S)
77307-CPT	Moderate	Telethx Isodose Plan Cplx, Teletherapy Isodose Plan Complex Multiple Treatment Areas Tangential Ports The Use Of Wedges Blocking Rotational Beam Or Special Beam Considerations Includes Basic Dosimetry Calculation S
77338-CPT	Moderate	Imrt Tumor Image, A Tumor Image Created For Radiation Treatment. Information From An Intensity-Modulated Radiation Therapy (Imrt) Plan Is Fed Into A Filter On A Linear Accelerator. This Creates A Radiation Energy Pattern That Precisely Matches The Shape Of The Tumor.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77338. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 77338 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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